| Doctor Name: | EMMA JACKSON SMITH |
| NPI Number: | 1033577911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NCC, LPC |
| License Number: | 72052 |
| Business Practice Address: | 4343 Carter Creek Pkwy Ste 119 Bryan, TX - 778024491 |
| Business Phone Number: | 9793531276 |
| Business Fax Number: | |
| Mailing Address: | 3811 Springfield Dr, COLLEGE STATION |
| State: | TX |
| Postal Code: | 778454889 |
| Phone Number: | 9793531276 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2016 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 72052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |